| NPI | 1497993786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN PIMENTEL Deputy Administrator 559-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 100010GN) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |